Skeletal Changes Following Application of RME at Different Maturation Stages

골격적 성숙도의 차이에 따라 RME 사용시 나타나는 상악골 복합체의 변화

  • Han, Soon-Ki (Department of Orthodontics, School of Dentistry, Dankook University) ;
  • Chung, Dong-Hwa (Department of Orthodontics, School of Dentistry, Dankook University) ;
  • Cha, Kyung-Suk (Department of Orthodontics, School of Dentistry, Dankook University)
  • 한순기 (단국대학교 치과대학 교정학실) ;
  • 정동화 (단국대학교 치과대학 교정학실) ;
  • 차경석 (단국대학교 치과대학 교정학실)
  • Published : 2007.12.30

Abstract

The purpose of this study was to analyse the stress distribution on the craniofacial suture and cranium after application of RME. Twelve years and six months old boy and twenty years old adult male were chosen for taking computed-tomography for FEM. From DICOM visual information, it was processed by 3-dimensional image construction program Mimics 10.01. Hounsfield unit(HU) which shows gray scale of CT image is picked for revealing mechanical properties of each model. The models have been accomplished with various range of physical properties. After applying 5.0 mm expansion, the maxillary complex model was obeserved for analyzing displacement and stress distribution of the model. The amount of transverse expansion of child and adult maxilla is different according to its location. It appears that it decreases gradually with the distance from separation site. In child, maximum compressive stress located broad area in zygomatic buttress department and the ends of frontal process of maxilla, pterygoid plate, and bones surrounding orbit. However, in adult maximum compressive stress was located smaller area and the stres was higher than child.

Keywords

References

  1. Angell. The permenant or Adult teeth. San Fran Med Press 1860;20-30:145-50
  2. Hass AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. Angle Orthod 1961;31:73-90
  3. Korkhaus G. Discussion of Report : A review of orthodontic research Int Dent J 1953;3:356
  4. Krebs AA. Rapid maxillary expansion of midpalatal suture by fixed appliance. An implant study over a 7 year period. Transactions of European Orthodontic Society: 141-2
  5. Krebs A. Expansion of the midpalatal suture studied by means of metalic implants. Eur Orthodon Soc Rep 1958;34:163-71
  6. Krebs A. Expansion of the midpalatal suture studied by means of metalic implants. Acta Odontol Scand 1959;17:491-50 https://doi.org/10.3109/00016355908993936
  7. Isaacson RJ, Ingram AH. Force produced by rapid maxillary expasion Part 1. Design of the force measuring system. Angle Orthod 1964;34: 256-60
  8. Cattanneo PM, Dalstra M, Frich LH. A Three dimensional finite element model from Computed Tomography data : a semi-automated method. Proc Instn Mech Engrs ;215:203-13
  9. Baydas B, Yavuz I, Uslu H, Dagsuyu IM, Ceylan I. Nonsurgical rapid maxillary expansion effects on craniofacial stuctures in young adult females. A bone scintigraphy study. Angle Orthod 2006;76(5):759-67
  10. Remmelink HJ. Effects of sagittal expansion in noncleft macerated human maxillae. Eur J Orthod 1989;11(4):392-6 https://doi.org/10.1093/oxfordjournals.ejo.a036011
  11. Korbmacher H, Huck L, merkle T, Kahl-Nieke B. Clinical profile of rapid maxillary expansion-outcome of a national inquiry.; J Orofac Orthop. 2005;66(6): 455-68 https://doi.org/10.1007/s00056-005-0440-5
  12. Chaconas SJ, Capto AA. Observation of orthopedic force distribution produced by maxillary orthodontic appliances. Am J Orthod 1982:492-501
  13. Dubravko P, Dalibor V. Mechanical reactions of facial skeleton to maxillary expansion determined by laser holography. Am J Orthod 1984:498-507
  14. Tanne K, Matsubara S, Sakuda M. Location of the center of resistance for the nasomaxillary complex studied in a three-dimensional finite element model. Br J Orthod 1995 ;22(3):227-32 https://doi.org/10.1179/bjo.22.3.227
  15. Jafari A, Shetty KS, Kumar M. Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces-a three-dimensional FEM study. Angle Orthod 2003;73(1):12-20
  16. Holberg C. Effects of Rapid Maxillary Expansion on the Cranial Base-an REM-Analysis. J Orofac orthop 2005;66(1):54-66 https://doi.org/10.1007/s00056-005-0439-y
  17. Iseri H, Tekkaya AE, Oztan O, Bilgic S. Biomechanical effects of rapid mxillary expansion on the craniofacial skeleton, studied by the finite element method.; Eur J othod 1998;20(4):347-56 https://doi.org/10.1093/ejo/20.4.347
  18. Esses SI, Lotz Js, Heyes WC. Biomechanical properties of the proximal femur determined in vitro by single energy quantitative computed tomography. J Bone Mine Res 1989;4:715-21
  19. Harp JH, Aronson J, Holis M. Non invasive determination of bone stiffness for distraction osteogenesis by computed tomography scans. Clin Orthop 1994;301:42-8
  20. Garib DG, henriquse JF, Janson G, Freitas MR, Coelho RA. Rapid maxillary expansion-tooth tissueborne versus tooth-borne expanders : a computed tomography evaluation of dentoske1etal effects. Angle Orthod 2005;75(4):548-57
  21. McGuinness NJ, McDonald JP. Changes in natural head position observd immediately and one year after rapid maxillary expansion. Eur J Orthod 2006; 28(2): 126-34 https://doi.org/10.1093/ejo/cji064
  22. Provatidis C, Georgiopoulos B, Kotinas A, McDonald JP. On the FEM modeling fo craniofacial changes during rapid maxillary expansion.; Med Eng Phys 2007;29(5):566-79 https://doi.org/10.1016/j.medengphy.2006.03.007
  23. Melson B, Melson F. The postnatal development of the maxillary region studies on human autopsy matetiai. Am J Orthod 1982;82: 329-42 https://doi.org/10.1016/0002-9416(82)90467-5
  24. Bishara S, Staley RN. Maxillary expansion : Clinical implication Am J Orthod 1987;91:3-14 https://doi.org/10.1016/0889-5406(87)90202-2
  25. Fried KH. Palate-Tongue reliability. Angle Orthod 1971;61:308-23
  26. Hass AJ. The treatment of maxillary deficiency by opening the mid-palatal suture Angle Orthod 1965;35:200-17
  27. Davis WM., Kronman JH. Anatomical changes induced by spliting of the midpalatal suture. Angle Orthod 1969;39:126-32